Seok-Whan Song

doi:10.12671/jkfs.2008.21.1.81

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Review Article from Symposium
Osteoporotic Distal Radius Fracture-conservative Treatment: Seok-Whan Song, M.D.; Journal of the Korean Fracture Society 2008;21(1):81-86.
DOI: https://doi.org/10.12671/jkfs.2008.21.1.81
Published online: January 31, 2008

Department of Orthopedic Surgery, St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to: Seok-Whan Song, M.D. Department of Orthopedic Surgery, St. Mary's Hospital, The Catholic University of Korea, 62, Yeouido-dong, Youngdeungpo-gu, Seoul 150-713, Korea. Tel: 82-2-3779-1192, Fax: 82-2-783-0252, sw.song@catholic.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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REFERENCES

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Fig. 1

Algorithm of the treatment of distal radius fracture by AO Classification9).

Fig. 2

Over tight cast prevents the finger exercise and causes swelling and edema of fingers, leading to reflex sympathetic dystrophy.

Fig. 3

(A) Unless there is severe bone loss or osteoporosis at the fracture site of distal radius the initial sugar-tong cast usually prevents forearm rotation and the further displacement.

(B) After 3~4 weeks the initial cast is changed with short arm cast.

Fig. 4

Direct manipulation without enough longitudinal traction is forbidden. To reduce the fracture site a gentle steady longitudinal traction must be preceded before the manual reduction of fracture site.

Fig. 5

Chinese finger trap can be used to ease the reduction. During the steady traction the distal fragment is pushed to the opposite direction from the initial displaced site.

Table 1

Universal classification and its treatment preference

Figure & Data

REFERENCES

Citations

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Won-Bae Ha, Ji-Hye Geum, Nak-Yong Koh, Jung-Han Lee
Journal of Korean Medicine Rehabilitation.2018; 28(3): 97. CrossRef
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Osteoporotic Distal Radius Fracture-conservative Treatment

J Korean Fract Soc. 2008;21(1):81-86. Published online January 31, 2008

DOI: https://doi.org/10.12671/jkfs.2008.21.1.81

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Osteoporotic Distal Radius Fracture-conservative Treatment

Fig. 1 Algorithm of the treatment of distal radius fracture by AO Classification9).

Fig. 2 Over tight cast prevents the finger exercise and causes swelling and edema of fingers, leading to reflex sympathetic dystrophy.

Fig. 3 (A) Unless there is severe bone loss or osteoporosis at the fracture site of distal radius the initial sugar-tong cast usually prevents forearm rotation and the further displacement. (B) After 3~4 weeks the initial cast is changed with short arm cast.

Fig. 4 Direct manipulation without enough longitudinal traction is forbidden. To reduce the fracture site a gentle steady longitudinal traction must be preceded before the manual reduction of fracture site.

Fig. 5 Chinese finger trap can be used to ease the reduction. During the steady traction the distal fragment is pushed to the opposite direction from the initial displaced site.